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Chinese Journal of Endourology(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (02): 152-158. doi: 10.3877/cma.j.issn.1674-3253.2025.02.005

• Clinical Research • Previous Articles     Next Articles

Application of sequential multi-disciplinary treatment in the full process management of prostate cancer

Zhenyang Dong1, Min Qu1, Yan Wang1, Yun Zhang1, Xu Gao1,()   

  1. 1. Department of Urology,Changhai Hospital,Shanghai 200433,China
  • Received:2025-01-07 Online:2025-04-01 Published:2025-04-01
  • Contact: Xu Gao

Abstract:

Objective

This article reports a case of localized prostate cancer that progressed to metastatic castration - resistant prostate cancer.The patient experienced three sequential multi - disciplinary therapy (MDT) treatments in the past three years.The article shares the application experience of sequential MDT in prostate cancer management.

Methods

A patient with "5-year post-radical prostatectomy and subsequent endocrine therapy due to biochemical recurrence,resulting in PSA increase" was reviewed.The treatment process and experience were summarized.

Results

The patient initially had localized prostate cancer,underwent surgery and regular follow-up.During follow-up,biochemical recurrence,PSA progression,oligometastatic lesions and multiple metastases occurred.The patient underwent three sequential MDT treatments,receiving adjuvant endocrine therapy,radiotherapy for metastases,novel endocrine therapy and chemotherapy.The patient's condition is currently stable.

Conclusion

The sequential MDT consultation model plays a crucial role in prostate cancer management,providing comprehensive and effective treatment plans for each disease progression.

Key words: Prostate cancer, Multi-disciplinary treatment, Hormone therapy, Full process management

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